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Should weight-beari...
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Jarl, Gustav,1978-Region Örebro län,Örebro universitet, Institutionen för hälsovetenskaper,Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
(författare)
Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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Elsevier,2021
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LIBRIS-ID:oai:DiVA.org:oru-90453
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-90453URI
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https://doi.org/10.1016/j.diabres.2021.108733DOI
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Språk:engelska
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Sammanfattning på:engelska
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Physical activity is an essential part of general health and diabetes management. However, recommending weight-bearing physical activity for people with plantar diabetic foot ulcers is controversial, even when gold standard offloading devices are used, as it is commonly thought to delay healing. We aimed to narratively review relevant studies investigating the relationship between plantar diabetic foot ulcer healing and weight-bearing activity, plantar pressure and device adherence. We defined relevant studies as those from two systematic reviews, along with those identified since using a similar updated Pubmed search strategy. We identified six studies. One study found that more daily steps were associated with worse ulcer healing, three found no significant association between steps and ulcer healing, and in two others the association was unclear. Thus, there is weak evidence for an inverse relationship between weight-bearing physical activity and plantar ulcer healing while utilizing offloading devices. We propose a Diabetic foot Offloading and Activity framework to guide future research to find the optimal balance between the positive and negative effects of weight-bearing activity in the context of foot ulcers. We hope such future studies will shed more conclusive light on the impact of weight-bearing activity on healing of plantar diabetic foot ulcers.
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van Netten, Jaap J.Amsterdam UMC, University of Amsterdam, Dept of Rehabilitation, Amsterdam Movement Sciences, Amsterdam, the Netherlands; School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
(författare)
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Lazzarini, Peter A.Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Australia; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia
(författare)
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Crews, Ryan T.Dr. William M. Scholl College of Podiatric Medicine's Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University, North Chicago, IL, USA
(författare)
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Najafi, BijanInterdisciplinary Consortium on Advanced Motion Performance (iCAMP), Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, USA
(författare)
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Mueller, Michael J.Program in Physical Therapy and Department of Radiology, Washington University School of Medicine in St Louis, St. Louis, MO, USA
(författare)
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Region Örebro länÖrebro universitet, Institutionen för hälsovetenskaper
(creator_code:org_t)
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Ingår i:Diabetes Research and Clinical Practice: Elsevier1750168-82271872-8227
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